Tae-Yoon Parka, Sung-Dong Parka, Jen-Young Choa, Jae-Seung Moona, Na-Yeon Kima, Kyungsoo Parkb, Rho Hyun Seongb, Sang-Won Leec, Tomohiro Moriod, Alfred L. M. Bothwelle, and Sang-Kyou Leea,1
aDepartment of Biotechnology, College of Life Science and Biotechnology, Translational Research Center for Protein Function Control, Yonsei University, Seoul 120-749, Republic of Korea; bDepartment of Biological Sciences, Institute of Molecular Biology and Genetics, Seoul National University, Seoul 151-742, Republic of Korea; cDivision of Rheumatology, Department of Internal Medicine, Institute for Immunology and Immunological Disease, Yonsei University College of Medicine, Seoul 120-752, Republic of Korea; dDepartment of Pediatrics and Developmental Biology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo 113-8519, Japan; and e Department of Immunobiology, Yale University School of Medicine, New Haven, CT 06520
Abstract
The nuclear hormone receptor retinoic acid-related orphan receptor gamma t (RORγt) is a transcription factor (TF) specific to T
H17 cells that produce interleukin (IL)-17 and have been implicated in a wide range of autoimmunity. Here, we developed a novel therapeutic strategy to modulate the functions of RORγt using cell-transducible form of transcription modulation domain of RORγt (tRORγt-TMD), which can be delivered effectively into the nucleus of cells and into the central nerve system (CNS). tRORγt-TMD specifically inhibited T
H17-related cytokines induced by RORγt, thereby suppressing the differentiation of naive T cells into T
H17, but not into T
H1, T
H2, or T
reg cells. tRORγt-TMD injected into experimental autoimmune encephalomyelitis (EAE) animal model can be delivered effectively in the splenic CD4
+ T cells and spinal cord-infiltrating CD4
+ T cells, and suppress the functions of T
H17 cells. The clinical severity and incidence of EAE were ameliorated by tRORγt-TMD in preventive and therapeutic manner, and significant reduction of both infiltrating CD4
+ IL-17
+ T cells and inflammatory cells into the CNS was observed. As a result, the number of spinal cord demyelination was also reduced after tRORγt-TMD treatment. With the same proof of concept, tTbet-TMD specifically blocking T
H1 differentiation improved the clinical incidence of rheumatoid arthritis (RA). Therefore, tRORγt-TMD and tTbet-TMD can be novel therapeutic reagents with the natural specificity for the treatment of inflammatory diseases associated with T
H17 or T
H1. This strategy can be applied to treat various diseases where a specific transcription factor has a key role in pathogenesis.
Footnotes
1To whom correspondence should be addressed.